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Diabetes distress and not clinical depression or depressive symptoms is associated with glycemic control in both cross-sectional and longitudinal analyses
Diabetes Care, 10/28/09
Fisher L et al. – The authors found no concurrent or longitudinal association between MDD or DS with HbA1C, whereas both concurrent and time–concordant relationships were found between DD and HbA1C. What has been called "depression" among type 2 patients may really be two conditions – MDD and DD – with only the latter displaying significant associations with HbA1C. Ongoing evaluation of both DD and MDD may be helpful in clinical settings.
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